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Organization
PROFESSIONAL REGISTERED SERVICES, LLC
Active
Organization
PROFESSIONAL REGISTERED SERVICES, LLC
Active
Other names
Dominique Register
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOMINIQUE REGISTER RN (AUTHORIZED OFFICIAL)
(321) 239-7606
Entity
Organization
Contact information
Practice address
3207 TRADEWINDS TRL, ORLANDO, FL 32805-5851
(321) 239-7606
Mailing address
3207 TRADEWINDS TRL, ORLANDO, FL 32805-5851
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024196800
—
FL
05
—
104607300
—
FL
Enumeration date
02/20/2019
Last updated
10/14/2021
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